针对被推患有自闭症谱系障碍的儿童的破坏性行为进行家长培训:随机对照试验
Simone Breider1,2,3, Annelies de Bildt4,5,6, Kirstin Greaves-Lord7,8,9,10
1Department of Child and Adolescent Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Journal of autism and developmental disorders
|September 27, 2024
概括
面对面的行为家长培训有效地减少了自闭症谱系障碍 (ASD) 儿童的破坏性行为和易怒性. 与等候名单对照相比,混合培训没有显著改善.
科学领域:
- 儿童心理学 儿童心理学
- 发育神经科学的发展神经科学.
- 临床精神病学 临床精神病学
背景情况:
- 破坏性行为和易怒是自闭症谱系障碍 (ASD) 儿童的常见挑战.
- 行为家长培训 (BPT) 是一个关键的干预措施,但其在常规护理环境中的有效性需要进一步评估.
- 目前正在探索面对面和混合 (在线辅助治疗师) 格式的BPT交付.
研究的目的:
- 为了比较面对面的BPT与混合的BPT在减少ASD儿童在常规心理健康护理中的破坏性行为方面的有效性.
- 评估治疗对儿童不服从和易怒性的影响.
- 在6个月的随访期检查治疗收益的可持续性.
主要方法:
- 一项随机对照试验,涉及97名患有自闭症儿童 (4-13岁).
- 参与者被分配到面对面的BPT,混合的BPT或等候名单对照组.
- 结果 (不遵守,易怒) 用家长评级进行评估,并通过线性回归模型进行分析.
主要成果:
- 与等候名单对照相比,面对面的BPT显著减少了不遵守和易怒.
- 面对面的小组的改善在6个月的随访中持续.
- 混合BPT组与等待名单组相比没有显著改善,其消耗率很高.
结论:
- 面对面的行为家长培训在日常心理健康护理中有效地管理ASD儿童的破坏性行为.
- 混合BPT需要进一步调查,以确定其有效性和最佳的交付给这个人群.
- 研究结果支持面对面的BPT在患有自闭症的儿童中使用,这些儿童表现出破坏性行为.
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